I have recently been prescribed liothyrine (privately). 2.5mcg three times daily, first thing, an hour before lunch and at 3pm is what has been suggested. I take 150mcg of levothyroxine daily (in the morning) too. Just wondering if there any tips/suggestions experiences that people could share with me about taking it and what to expect.
Am excited to see if it makes a difference to general fatigue which is my main symptom at the mo, have been feeling better in general since I started taking selenium regularly but still have energy crashes at times.
My most recent blood test results in case relevant.
T.S.H. [0.27 - 4.2] 0.69 mIU/L
Free T3 [3.1 - 6.8] 4.2 pmol/L
Free T4 [12 - 22] 17.6 pmol/L
I assume these are 5 mcg tablets rather than 20 mcg (which would be dust if split so small!) - which makes it a more expensive way of getting your lio.
Best advice is low and slow, so I'd start with one dose first, with your levo, for a week or two; then add the second for another week or two, and then all three. Hold for 6 - 8 weeks and re-test bloods. Overall the full dose of 7.5 mcg is still quite low though, so you may find you need a bit more. Equally if you are happy with 2 of your daily doses and feel fully well on that, you don't HAVE to increase to the full suggested level and if you feel "jittery", even on this relatively small dose, when you increase -just go back to where you were before for a bit longer.
Once you're on your full dose, I'd experiment with the timings and the number of doses you take and see what works best for you. Some people like three well-spaced doses (often more spaced than you have had suggested); some prefer 2 doses, and I find it much easier to take mine all at once, first thing with my levo
By the way, if you take less than a full tablet at a time, the patient leaflet suggests dissolving the tablet in water and throwing away the unused bit This is plain bonkers: the tablets are expensive; they don't dissolve easily; and there is nothing at all wrong with using a pill cutter (or scalpel or craft knife) to divide them. Best to fully use up one tablet you've cut before starting to cut another - and lick your finger to get any crumbs
Good luck x
Apologies for the slow reply and thank you for the thoughtful considered message. Thankfully the pharmacy sent a pill splitter with the medication (it is 5mcg tablets) and i would never consider throwing any of it away, as you say tis way too expensive! I've started slow as you suggested but I'm not really feeling anything, will have to give it a chance tho, as i've learnt patience is the key! I'm concerned – as @sassZ1 has said below – this may be too small a dose to have more than a placebo effect, however this is on top of 150mcg of levo daily so we shall see.
Just wanted to say thanks for you advice, it's much appreciated.
x